Friday, 30 June 2017

Laterality and Gender in Congenital Upper Limb Deficiencies

Laterality and gender in congenital upper limb deficiencies have been an area of debate in prosthetics for many years. Images such as the ‘Limbless children, Moscow’ in 1993 by GerdLudwig in the National Geographic showed a line of 8 children, all with left sided congenital upper limb deficiency.

Upper Limb Deficiencies
The line consisted of 6 girls and two boys. Did this picture depict what has been considered by the experts to be true when it comes to congenital upper limb deficiencies – It is more common on the left side and more common in females? A bias towards more left upper limb congenital absences has been commented on in a number of papers in the late 90’s. There appeared to be no conclusive explanation for this preponderance. A paper by Corballis and Morgan in 1979 suggested that the developing embryo is under the influence of a left-right maturational gradient which seems to favour earlier or more rapid development on the left than the right.



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